NPI | 1144323924 |
---|---|
Other Name | SKYWALK HUB DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT ERWIN GRASK President 515-243-6311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6917) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2020-08-22 |